Vestibular and oculomotor abnormalities among HIV-infected and HIV-uninfected men and women: A pilot study.
Identifieur interne : 000004 ( Main/Exploration ); précédent : 000003; suivant : 000005Vestibular and oculomotor abnormalities among HIV-infected and HIV-uninfected men and women: A pilot study.
Auteurs : Matthew D. Pichert [États-Unis] ; Michael W. Plankey [États-Unis] ; Gayle Springer [États-Unis] ; Christopher Cox [États-Unis] ; Howard J. Hoffman [États-Unis] ; Helen S. Cohen [États-Unis]Source :
- Journal of vestibular research : equilibrium & orientation [ 1878-6464 ] ; 2020.
Abstract
OBJECTIVE
To determine if middle-aged and aging men and women with HIV disease (HIV+) should be screened for vestibular and oculomotor dysfunction.
METHODS
Age- and sociodemographically matched HIV+ and HIV- men and women were tested on vestibular evoked myogenic potential (VEMP), bi-thermic caloric testing, Dix-Hallpike maneuvers and saccades.
RESULTS
HIV+ men had more caloric weakness than HIV- men. HIV+ subjects had more saccade abnormalities than HIV- subjects. A saccade abnormality was positively associated with being HIV+. Among the HIV+ sample, abnormalities were associated with increasing age, being male, ever taking monotherapy, having an undetectable viral load. Only being male and having an undetectable viral load were statistically significant. Unilateral caloric weakness had a decreased prevalence with age per 10 years, and being HIV+ showed an increased prevalence. In HIV+ subjects only, these abnormalities decreased with age and being male but increased with undetectable viral load and ever taking antiretroviral monotherapy. No statistically significant differences were found.
CONCLUSION
Women are at greater risk of vestibular and oculomotor abnormalities than men. HIV+ adults are at greater risk than HIV- adults. Physicians who care for HIV+ men and women should monitor the symptoms of vestibular and oculomotor impairment.
DOI: 10.3233/VES-200707
PubMed: 32741798
Affiliations:
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Plankey</name><affiliation wicri:level="2"><nlm:affiliation>Georgetown University Medical Center, Washington, DC.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">District de Columbia</region></placeName><wicri:cityArea>Georgetown University Medical Center, Washington</wicri:cityArea></affiliation></author><author><name sortKey="Springer, Gayle" sort="Springer, Gayle" uniqKey="Springer G" first="Gayle" last="Springer">Gayle Springer</name><affiliation wicri:level="2"><nlm:affiliation>Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Johns Hopkins University Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Cox, Christopher" sort="Cox, Christopher" uniqKey="Cox C" first="Christopher" last="Cox">Christopher Cox</name><affiliation wicri:level="2"><nlm:affiliation>Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Johns Hopkins University Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Hoffman, Howard J" sort="Hoffman, Howard J" uniqKey="Hoffman H" first="Howard J" last="Hoffman">Howard J. Hoffman</name><affiliation wicri:level="2"><nlm:affiliation>National Institute on Deafness and Other Communication Disorders, National Instiutes of Health, Bethesda, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>National Institute on Deafness and Other Communication Disorders, National Instiutes of Health, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Cohen, Helen S" sort="Cohen, Helen S" uniqKey="Cohen H" first="Helen S" last="Cohen">Helen S. Cohen</name><affiliation wicri:level="2"><nlm:affiliation>Baylor College of Medicine, Houston, TX.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Baylor College of Medicine, Houston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of vestibular research : equilibrium & orientation</title><idno type="eISSN">1878-6464</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine if middle-aged and aging men and women with HIV disease (HIV+) should be screened for vestibular and oculomotor dysfunction.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Age- and sociodemographically matched HIV+ and HIV- men and women were tested on vestibular evoked myogenic potential (VEMP), bi-thermic caloric testing, Dix-Hallpike maneuvers and saccades.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>HIV+ men had more caloric weakness than HIV- men. HIV+ subjects had more saccade abnormalities than HIV- subjects. A saccade abnormality was positively associated with being HIV+. Among the HIV+ sample, abnormalities were associated with increasing age, being male, ever taking monotherapy, having an undetectable viral load. Only being male and having an undetectable viral load were statistically significant. Unilateral caloric weakness had a decreased prevalence with age per 10 years, and being HIV+ showed an increased prevalence. In HIV+ subjects only, these abnormalities decreased with age and being male but increased with undetectable viral load and ever taking antiretroviral monotherapy. No statistically significant differences were found.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Women are at greater risk of vestibular and oculomotor abnormalities than men. HIV+ adults are at greater risk than HIV- adults. Physicians who care for HIV+ men and women should monitor the symptoms of vestibular and oculomotor impairment.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32741798</PMID><DateRevised><Year>2020</Year><Month>08</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-6464</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jul</Month><Day>29</Day></PubDate></JournalIssue><Title>Journal of vestibular research : equilibrium & orientation</Title><ISOAbbreviation>J Vestib Res</ISOAbbreviation></Journal><ArticleTitle>Vestibular and oculomotor abnormalities among HIV-infected and HIV-uninfected men and women: A pilot study.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.3233/VES-200707</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine if middle-aged and aging men and women with HIV disease (HIV+) should be screened for vestibular and oculomotor dysfunction.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Age- and sociodemographically matched HIV+ and HIV- men and women were tested on vestibular evoked myogenic potential (VEMP), bi-thermic caloric testing, Dix-Hallpike maneuvers and saccades.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">HIV+ men had more caloric weakness than HIV- men. HIV+ subjects had more saccade abnormalities than HIV- subjects. A saccade abnormality was positively associated with being HIV+. Among the HIV+ sample, abnormalities were associated with increasing age, being male, ever taking monotherapy, having an undetectable viral load. Only being male and having an undetectable viral load were statistically significant. Unilateral caloric weakness had a decreased prevalence with age per 10 years, and being HIV+ showed an increased prevalence. In HIV+ subjects only, these abnormalities decreased with age and being male but increased with undetectable viral load and ever taking antiretroviral monotherapy. No statistically significant differences were found.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Women are at greater risk of vestibular and oculomotor abnormalities than men. HIV+ adults are at greater risk than HIV- adults. 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Pichert</name></region><name sortKey="Cohen, Helen S" sort="Cohen, Helen S" uniqKey="Cohen H" first="Helen S" last="Cohen">Helen S. Cohen</name><name sortKey="Cox, Christopher" sort="Cox, Christopher" uniqKey="Cox C" first="Christopher" last="Cox">Christopher Cox</name><name sortKey="Hoffman, Howard J" sort="Hoffman, Howard J" uniqKey="Hoffman H" first="Howard J" last="Hoffman">Howard J. Hoffman</name><name sortKey="Plankey, Michael W" sort="Plankey, Michael W" uniqKey="Plankey M" first="Michael W" last="Plankey">Michael W. Plankey</name><name sortKey="Springer, Gayle" sort="Springer, Gayle" uniqKey="Springer G" first="Gayle" last="Springer">Gayle Springer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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